Organization
BOHANNAN IRGENS GROUP LLC
Active
Organization
BOHANNAN IRGENS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BOHANNAN PT, DPT (OWNER)
(479) 597-8318
Entity
Organization
Contact information
Practice address
515 FORREST PARK WAY, GREENWOOD, AR 72936-5955
(479) 597-8318
Mailing address
515 FORREST PARK WAY, GREENWOOD, AR 72936-5955
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT2764
AR
Other
Enumeration date
01/13/2016
Last updated
04/14/2020
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